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  1. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/61061/psn-pdf
    October 28, 2020 - Safer prescribing for hospitalized older adults with an electronic health records?based prescribing context. October 28, 2020 Drago K, Sharpe J, De Lima B, et al. Safer prescribing for hospitalized older adults with an electronic health records?based prescribing context. J Am Geriatrics Soc. 2020;68(9):2123-2127. d…
  2. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/35572/psn-pdf
    February 03, 2011 - The long road to patient safety: a status report on patient safety systems. February 3, 2011 Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65. https://psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-s…
  3. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/60635/psn-pdf
    January 01, 2021 - Systemic defenses to prevent intravenous medication errors in hospitals: a systematic review. July 1, 2020 Kuitunen SK, Niittynen I, Airaksinen M, et al. Systemic Defenses to Prevent Intravenous Medication Errors in Hospitals. J Patient Saf. 2021;17(8):e1669-e1680. doi:10.1097/pts.0000000000000688. https://psnet.a…
  4. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/855097/psn-pdf
    November 08, 2023 - Use of the Second Victim Experience and Support Tool (SVEST) to assess the impact of a departmental peer support program on anesthesia professionals' second victim experiences (SVEs) and perceptions of support two years after implementation. November 8, 2023 Pelikan M, Finney RE, Jacob A. AANA J. 2023;91(5):…
  5. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/45829/psn-pdf
    June 27, 2018 - Learning from errors: analysis of medication order voiding in CPOE systems. June 27, 2018 Kannampallil TG, Abraham J, Solotskaya A, et al. Learning from errors: analysis of medication order voiding in CPOE systems. J Am Med Inform Assoc. 2017;24(4):762-768. doi:10.1093/jamia/ocw187. https://psnet.ahrq.gov/issue/le…
  6. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/48173/psn-pdf
    August 28, 2019 - Does learning from mistakes have to be painful? Analysis of 5 years' experience from the Leeds radiology educational cases meetings identifies common repetitive reporting errors and suggests acknowledging and celebrating excellence (ACE) as a more positive way of teaching the same lessons. August 28, 2019 Koo A,…
  7. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/840170/psn-pdf
    November 16, 2022 - Predicting dispensing errors in community pharmacies: an application of the Systematic Human Error Reduction and Prediction Approach (SHERPA). November 16, 2022 Ashour A, Phipps DL, Ashcroft DM. PLoS ONE. 2022;17(1):e0261672. https://psnet.ahrq.gov/innovation/predicting-dispensing-errors-community-pharmacies-…
  8. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34892/psn-pdf
    February 03, 2011 - Effects of computerized clinical decision support systems on practitioner performance and patient outcomes: a systematic review. February 3, 2011 Garg AX, Adhikari NKJ, McDonald H, et al. Effects of Computerized Clinical Decision Support Systems on Practitioner Performance and Patient Outcomes. JAMA. 2005;293(10):…
  9. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/37478/psn-pdf
    February 22, 2011 - Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. February 22, 2011 Nuckols TK, Bower AG, Paddock SM, et al. Programmable infusion pumps in ICUs: an analysis of corresponding adverse drug events. J Gen Intern Med. 2008;23 Suppl 1:41-5. doi:10.1007/s11606-007- 0414-y. https://p…
  10. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/43474/psn-pdf
    August 28, 2017 - Racial and ethnic disparities in patient safety. August 28, 2017 Okoroh JS, Uribe EF, Weingart SN. Racial and Ethnic Disparities in Patient Safety. J Patient Saf. 2017;13(3):153-161. doi:10.1097/PTS.0000000000000133. https://psnet.ahrq.gov/issue/racial-and-ethnic-disparities-patient-safety Prior studies have raise…
  11. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/74075/psn-pdf
    November 17, 2021 - CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. November 17, 2021 Townsend T, Cerdá M, Bohnert AS, et al. CDC guideline for opioid prescribing associated with reduced dispensing to certain patients with chronic pain. Health Aff (Millwood). 2021;40(11):1…
  12. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/73374/psn-pdf
    June 09, 2021 - Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients with chronic obstructive pulmonary disease. June 9, 2021 Singh D, Fahim G, Ghin HL, et al. Effects of pharmacist-conducted medication reconciliation at discharge on 30-day readmission rates of patients wi…
  13. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/46820/psn-pdf
    August 20, 2018 - Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. August 20, 2018 Brat GA, Agniel D, Beam A, et al. Postsurgical prescriptions for opioid naive patients and association with overdose and misuse: retrospective cohort study. BMJ. 2018;360:j5790…
  14. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/34714/psn-pdf
    February 18, 2011 - Relation between malpractice claims and adverse events due to negligence. Results of the Harvard Medical Practice Study III. February 18, 2011 Localio AR, Lawthers AG, Brennan TA, et al. Relation between Malpractice Claims and Adverse Events Due to Negligence. New England Journal of Medicine. 2010;325(4). doi:10.1…
  15. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/44960/psn-pdf
    February 14, 2017 - Readmissions, observation, and the Hospital Readmissions Reduction Program. February 14, 2017 Zuckerman RB, Sheingold SH, Orav J, et al. Readmissions, Observation, and the Hospital Readmissions Reduction Program. N Engl J Med. 2016;374(16):1543-51. doi:10.1056/NEJMsa1513024. https://psnet.ahrq.gov/issue/readmissio…
  16. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/852444/psn-pdf
    August 16, 2023 - Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. August 16, 2023 Hibbert PD, Molloy CJ, Schultz TJ, et al. Comparing rates of adverse events detected in incident reporting and the Global Trigger Tool: a systematic review. Int J Qual Health Care. 202…
  17. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/42178/psn-pdf
    April 10, 2013 - Outside case review of surgical pathology for referred patients: the impact on patient care. April 10, 2013 Swapp RE, Aubry MC, Salomão DR, et al. Outside case review of surgical pathology for referred patients: the impact on patient care. Arch Pathol Lab Med. 2013;137(2):233-40. doi:10.5858/arpa.2012-0088-OA. htt…
  18. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/36586/psn-pdf
    July 08, 2008 - House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. July 8, 2008 Ong M, Bostrom A, Vidyarthi A, et al. House staff team workload and organization effects on patient outcomes in an academic general internal medicine inpatient service. Ar…
  19. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/41794/psn-pdf
    January 31, 2013 - Safety culture and complications after bariatric surgery. January 31, 2013 Birkmeyer NJO, Finks JF, Greenberg CK, et al. Safety culture and complications after bariatric surgery. Ann Surg. 2013;257(2):260-5. doi:10.1097/SLA.0b013e31826c0085. https://psnet.ahrq.gov/issue/safety-culture-and-complications-after-bariat…
  20. Psn-Pdf (pdf file)

    psnet.ahrq.gov/node/47672/psn-pdf
    January 17, 2019 - Adverse events and patient outcomes among hospitalized children cared for by general pediatricians vs hospitalists. January 17, 2019 Basco WT. Comparing the Care of Pediatric Hospitalists With That of General Pediatricians. JAMA Netw Open. 2018;1(8). doi:10.1001/jamanetworkopen.2018.5686. https://psnet.ahrq.gov/is…

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